Drenagem linfática manual em mulheres submetidas à dermolipectomia de coxas após cirurgia bariátrica
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Arquivos
Data
2015
Autores
Arruda, Lilia [UNIFESP]
Orientadores
Ferreira, Lydia Masako [UNIFESP]
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: A drenagem linfática manual (DLM) tem se
estabelecido como parte integrante nos tratamentos do edema
linfático após cirurgias plásticas porém com poucas evidências.
Objetivo: Avaliar o efeito da drenagem linfática em mulheres
submetidas à dermolipectomia de coxas após cirurgia bariátrica.
Médotos: Foram selecionadas 20 mulheres, com idade entre 20 e
60 anos, distribuídas aleatoriamente, em 02 grupos com 10
pacientes. As pacientes do grupo estudo realizaram 06 sessões de
drenagem linfática manual (7º, 9º, 14º, 16º, 21º e 23º PO), com
duração de 20 minutos em cada membro inferior, 02 vezes por
semana e aferido as medidas perimétricas da circunferência
externa da coxa com trena em três segmentos da coxa (proximal,
medial e distal), seguido de aferição da escala visual numérica
de dor. As pacientes do grupo controle realizaram as DLM após
o 28º PO. As medidas foram realizadas nos mesmos pontos,
sendo estes, 5cm abaixo do trocânter maior do fêmur, 5 cm acima
da patela e na linha central entre essas medidas. Resultados:
Foram analisados 19 pacientes, sendo 9 do grupo controle e 10
do grupo estudo. Comparado ao grupo controle, o grupo estudo
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apresentou melhora significante da dor (p<0,001) e na avaliação
do edema linfático das coxas, não se verificou diferenças
significantes entre os grupos. Conclusão: A DLM melhorou a
sintomatologia da dor com resultado significante ao longo do
tempo, mas não houve melhora do edema no pós operatório de
23 dias.
Introduction: manual lymphatic drainage (MLD) is considered an integral part of the lymphatic edema treatment after plastic surgery. However, there is little scientific evidences. Objective: Evaluate the effect of lymphatic drainage in women undergoing thighs dermolipectomy after bariatric surgery. Methods: The sample included 20 women, aged between 20 and 60 years, randomly divided in 02 groups with 10 patients. 06 manual lymphatic drainage sessions were made in the study group patients (7, 9, 14, 16, 21 and 23 PO). The drainage lasted 20 minutes on each leg and was made 02 times a week. Before each session, the thigh circumference measurements were made in three segments (proximal, medial and distal), with a measure tape. Then, measurements of the weight and pain (through visual numerical scale) were made. In control group patients, the MLD was made after 28 PO. The measurements were performed in the same spots, which were, 5cm below the greater trochanter of the femur, 5 cm above the patella and in the center line between these measures. Results: 19 patients were analyzed, 9 of the control group and 10 of the study group. Compared to the control group, the study group showed significant pain improvement (p <0.001). There was no significant difference between groups in the evaluation of legs lymphatic edema. Conclusion: MLD has improved the symptoms of pain, but there was no improvement in the edema after 23 days after surgery.
Introduction: manual lymphatic drainage (MLD) is considered an integral part of the lymphatic edema treatment after plastic surgery. However, there is little scientific evidences. Objective: Evaluate the effect of lymphatic drainage in women undergoing thighs dermolipectomy after bariatric surgery. Methods: The sample included 20 women, aged between 20 and 60 years, randomly divided in 02 groups with 10 patients. 06 manual lymphatic drainage sessions were made in the study group patients (7, 9, 14, 16, 21 and 23 PO). The drainage lasted 20 minutes on each leg and was made 02 times a week. Before each session, the thigh circumference measurements were made in three segments (proximal, medial and distal), with a measure tape. Then, measurements of the weight and pain (through visual numerical scale) were made. In control group patients, the MLD was made after 28 PO. The measurements were performed in the same spots, which were, 5cm below the greater trochanter of the femur, 5 cm above the patella and in the center line between these measures. Results: 19 patients were analyzed, 9 of the control group and 10 of the study group. Compared to the control group, the study group showed significant pain improvement (p <0.001). There was no significant difference between groups in the evaluation of legs lymphatic edema. Conclusion: MLD has improved the symptoms of pain, but there was no improvement in the edema after 23 days after surgery.
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Citação
ARRUDA, Lilia. Drenagem linfática manual em mulheres submetidas à dermolipectomia de coxas após cirurgia bariátrica. 2015. 137 f. Dissertação (Mestrado em Ciências) - Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, 2015